Surgical Approach to Concealed Penis: Technical Refinements and Outcome

Borsellino, Alessandro; Spagnoli, A; Vallasciani, Santiago; Martini, Luisa; Ferro, Fabio

doi:10.1016/j.urology.2007.01.065

Cited by 79 publications

(67 citation statements)

References 12 publications

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“…[41] Moreover, since prepubic fat is sensitive to androgens, penile appearance can improve spontaneously as the child approaches puberty. [42,43] Alternatively, a true buried penis is due to superficial fascial laxity with lack of skin attachment to the shaft and subsequent absence of a peno-pubic and penoscrotal angle (Fig. 5A).…”

Section: Paraphimosismentioning

confidence: 99%

“…The differential diagnosis between a buried penis due to pubic adiposity and one due to lack of skin attachments cannot be easily made. Borsellino et al [43] suggested that the presence of a circumferential groove at the base of the penis indicates normal peno-pubic and peno-scrotal angles.…”

Section: Clinical Assessment Of Inconspicuous Penismentioning

confidence: 99%

“…All the techniques for repair involve the general principles of skin tapering and fixation to recreate a cylindrical penis with a peno-pubic and peno-scrotal angle. [43,49] Complications are rare, but recurrence of the condition is possible. Skin redundancy owing to inadequate trimming or residual penile torsion owing to asymmetry in skin fixation may also occur.…”

Section: Principles Of Managementmentioning

confidence: 99%

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Benign penile skin anomalies in children: a primer for pediatricians

et al. 2015

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Background: Abnormalities involving the skin coverage of the penis are diffi cult to defi ne, but they can significantly alter penile appearance, and be a cause of parental concern.Data sources: The present review was based on a nonsystematic search of the English language medical literature using a combination of key words including "penile skin anomalies" and the specific names of the different conditions.Results: Conditions were addressed in the following order, those mainly affecting the prepuce (phimosis, balanitis xerotica obliterans, balanitis, paraphimosis), those which alter penile configuration (inconspicuous penis and penile torsion), and lastly focal lesions (cysts, nevi and vascular lesions). Most of these anomalies are congenital, have no or minimal influence on urinary function, and can be detected on clinical examination. Spontaneous improvement is possible. In the majority of cases undergoing surgery, the potential psychological implications of genital malformation on patient development are the main reason for treatment, and the age generally recommended for surgery is after 12 months of age. Conclusion:This review provides the pediatrician with a handy tool to identify the most common penile skin anomalies, counsel parents adequately, make sensible and evidence based choices for management, and recognize complications or untoward outcomes in patients undergoing surgery. World J Pediatr March 2015; Online First

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Section: Paraphimosismentioning

confidence: 99%

Section: Clinical Assessment Of Inconspicuous Penismentioning

confidence: 99%

Section: Principles Of Managementmentioning

confidence: 99%

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Benign penile skin anomalies in children: a primer for pediatricians

et al. 2015

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“…However, in adults it can cause chordee (Perlmutter and Chamberlain, 1972), discomfort during intercourse, difficulty in placing a condom, and psychological pressure brought about by cosmetic deformity, which can lead to demands for surgery. Converting a transverse penoscrotal incision to longitudinal closure or using the foreskin to augment the penile skin is among the surgical techniques described by others (Shepard et al, 1980;Medina López et al, 1999;Amano et al, 2004;Lee et al, 2005;Borsellino et al, 2007;El-Koutby and El Gohary, 2010). A circumferential incision made proximal to the coronal sulcus with skin flaps transferred to the ventral side of the penis has also been reported (Perlmutter and Chamberlain, 1972;Amano et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

A new plastic surgical technique for adult congenital webbed penis

Chen

Ding

Luo

et al. 2012

J. Zhejiang Univ. Sci. B

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Objective: To introduce a novel surgical technique for correction of adult congenital webbed penis. Methods: From March 2010 to December 2011, 12 patients (age range: 14-23 years old) were diagnosed as having a webbed penis and underwent a new surgical procedure designed by us. Results: All cases were treated successfully without severe complication. The operation time ranged from 20 min to 1 h. The average bleeding volume was less than 50 ml. All patients achieved satisfactory cosmetic results after surgery. The penile curvature disappeared in all cases and all patients remained well after 1 to 3 months of follow-up. Conclusions: Adult webbed penis with complaints of discomfort or psychological pressure due to a poor profile should be indicators for surgery. Good corrective surgery should expose the glans and coronal sulcus, match the penile skin length to the penile shaft length dorsally and ventrally, and provide a normal penoscrotal junction. Our new technique is a safe and effective method for the correction of adult webbed penis, which produces satisfactory results.

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“…Surgical repair of the congenital abnormality is a difficult challenge for urologists. [3][4][5][6][7][8] Weight loss or removal of suprapubic fat usually fails to reach satisfactory result. Simple circumcision will make the condition worse.…”

Section: Introductionmentioning

confidence: 99%

A modified surgical procedure for concealed penis

Cheng

Liu

Guan

et al. 2015

CUAJ

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Introduction: We described a modified surgical procedure for repairing a concealed penis and compared the efficacy and feasibility of modified repair with traditional repair. Methods: From March 2003 to December 2012, 96 patients with a concealed penis were recruited to undergo penile repair at our centre. Modified repair and traditional repair were performed respectively on 46 and 50 cases. We compared operative time, intraoperative blood loss, cosmetic result of operative scars, postoperative penile retraction, and complications. Results: All operations were completed successfully without serious complications. The mean operative time, intraoperative blood loss, and cosmetic result of the operative scar between the two surgical methods were similar. However, the postoperative penile retraction rate in patients undergoing modified repair decreased significantly than in the traditional repair. Conclusions: Our modified surgical procedure is effective and feasible for a concealed penis. Although extra procedures were needed for the modified repair, the operative time, intraoperative blood loss and cosmetic result of operative scar between the two procedures were similar. Compared with traditional repair, modified repair has better clinical outcomes.

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Surgical Approach to Concealed Penis: Technical Refinements and Outcome

Cited by 79 publications

References 12 publications

Benign penile skin anomalies in children: a primer for pediatricians

Benign penile skin anomalies in children: a primer for pediatricians

A new plastic surgical technique for adult congenital webbed penis

A modified surgical procedure for concealed penis

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